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R LATER) MUST BE COMPLETED ANNUALLY AND ON FILE WITH THE ATHLETIC STAFF BEFORE THE ATHLETE PARTICIPATES IN ANY PRACTICE BEFORE, DURING OR AFTER SCHOOL (BEFORE OR AFTER THE SEASON) OR GAMES/MATCHES. USE ONLY BLACK OR BLUE INK TO COMPLETE NO PENCIL. PLEASE PRINT ALL INFORMATION Student s LAST Name Student s FIRST Name & M.I.: Preferred First Name: Student I.D. #: Campus: Gender:.

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